Demo

Document Specialist

The Rawlings Group
Roseville, CA Full Time
POSTED ON 1/30/2025
AVAILABLE BEFORE 3/30/2025

Who we Are

As a leading healthcare intelligence company with over 40 years of experience, we put our unrivaled payment integrity, subrogation, and coordination of benefits (COB) expertise, expansive perspective, and relentless focus to work for our clientsensuring no stone is left unturned in our pursuit of unmatched results. Our commitment to accuracy and excellence has helped us grow into a proven leader of our industry, relied on by companies large and small to help them maximize their return on investment.

Location: This role is full remote

About the Opportunity

At NewCo, were constantly reimagining whats possible in our industrycreating disruptively simple, powerfully clear ways to maximize our clients financial outcomes today and drive down healthcare costs tomorrow. As part of the Complex Claims team, you will, as a Document Specialist, play a pivotal role in managing and streamlining document workflows to ensure accuracy, efficiency, and compliance with internal procedures. This position involves processing and quality-checking documents, reviewing and organizing incoming claims, and ensuring proper routing and status assignment.

The role requires collaboration with internal teams to maintain import queues, reconcile balances, validate charges, and address errors. Responsibilities also include overseeing file intake and output, resolving discrepancies, and handling inquiries. The Document Specialist identifies, and reports system issues, submits service tickets, and analyzes data trends to improve efficiency and communication across teams.

Additionally, this position monitors file-sharing processes, ensures data transfer accuracy, performs itemized bill data entry, and supports various operational tasks as needed. The ideal candidate combines exceptional attention to detail with strong organizational and analytical skills to contribute to seamless document management operations.

What youll do

  • Manage document workflows, including processing, quality assurance, and adherence to internal procedures.
  • Conduct incoming claim reviews, assign statuses, organize data, ensure accuracy, and route files to auditors.
  • Collaborate with internal teams to maintain the import queue, reconcile balances, validate charges, correct errors, and manage claim routing.
  • Oversee file intake and output, addressing discrepancies, errors, and inquiries.
  • Identify and report production environment issues by submitting detailed service tickets.
  • Analyze data trends across documents and systems, providing updates on status, claims routing, efficiency, inventory, and volume to relevant teams.
  • Monitor file-sharing processes, ensuring data transfer accuracy and appropriate volume levels.
  • Perform data entry for itemized bills.
  • Complete additional tasks as assigned.

  • Healthcare background preferred.
  • Proficient in computer skills, including Microsoft Office Suite, Adobe Acrobat, multi-monitor setups, and adaptability to company-specific software.
  • Strong attention to detail with excellent organizational, analytical, and critical thinking abilities.

What Success Looks Like

After 3 months

  • You will have a strong understanding of the role.
  • You begin building relationships and collaborating with peers.
  • You develop effective time and priorities management.
  • You receive initial feedback about your performance and are using it to improve.
  • Youve gained confidence in your abilities and are starting to feel more comfortable in your role.

After 1 year

  • You have mastered the tasks and responsibilities of the position, executing them with confidence and efficiency.
  • You have established a strong network of internal relationships and are recognized as a key collaborator.
  • Youve been entrusted with greater responsibility indicating the companys confidence in your abilities.
  • You see opportunities for career progression and personal development.

Pay range: $15.00 USD per hour. This is a non-exempt position.

Whats in it for you

  • PTO, Paid Holidays, and Volunteer Days
  • Eligibility for health, vision and dental coverage, 401(k) plan participation with company match, and flexible spending accounts
  • Tuition Reimbursement
  • Eligibility for company-paid benefits including life insurance, short-term disability, and parental leave.
  • Remote and hybrid work options

At NewCo, were reimagining a simpler way forward. This begins with our employees. We are innovators who value integrity, teamwork, accuracy, and flexibility. We do the right thing, and we listen to the needs of our clients and their members. As tenured experts with unmatched experience, we champion diverse perspectives that help us to better understand and serve our clients.

Our values come to life through our culture. We embrace flexible working arrangements that allow our employees to bring innovation to life in the way that best suits their productivity. We work cross-functionally, abandoning silos, to bring innovative, accurate solutions to market. We invest in each other through ongoing education and team celebrations, and we give back to our communities through dedicating days for volunteering. Together, NewCo is making healthcare work better for everyone, and were passionate about a future with better outcomes for all.

We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace. NewCo is an employment at will employer.

#LI-VPM

#INDHP

Salary : $15

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